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Individual

MRS. JENNIFER ARDIS ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA050862
PA
363AM0700X
Medical Physician Assistant
OA-OO2374
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P00220765
PA
Enumeration date
02/07/2007
Last updated
03/23/2023
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